Riaz Ahmed, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

ACN820 Issued in FL

Practice address

1536 N Jefferson St
Jacksonville, FL 32209-6525

Phone

(904) 470-5800

Fax

(352) 384-8014

NPI assigned

Jun 1, 2009

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jax Psychiatry LLC

  • Psychiatry Physician
  • Ponte Vedra, FL
  • NPI 1124538525
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1243814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643068800000",
    "number": "1023244381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 HILDEN RD STE 108",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320818401",
            "telephone_number": "904-834-8042",
            "fax_number": "904-717-8429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1536 N JEFFERSON ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322096525",
            "telephone_number": "904-470-5800",
            "fax_number": "352-384-8014"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14170 85th Rd",
            "address_2": "Apt 1B",
            "address_purpose": "LOCATION",
            "city": "Briarwood",
            "state": "NY",
            "postal_code": "114352562",
            "country_code": "US",
            "telephone_number": "718-291-7617",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "145 Hilden Rd Ste 108",
            "address_purpose": "LOCATION",
            "city": "Ponte Vedra",
            "state": "FL",
            "postal_code": "320818401",
            "country_code": "US",
            "telephone_number": "904-834-8042",
            "fax_number": "904-717-8429",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AHMED",
        "first_name": "RIAZ",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-01",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "P70149",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ACN820",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "KZ545",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Junaid Abdul Ahmed, MD
• Mohammed Mobin Ahmed, M.D.
• Nabiha Ejaz Ahmed, DO
• Nahla Ahmed
• Naveed Ahmed, M.D.
• Sabrina Yasmeen Ahmed, LMHC
• Sohib Ahmed
• Tammy Marie Ahmed, HHP
• Waqas Ahmed, M.D., FACP
• Zohaib Ahmed, DMD

• Psychiatry Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.